Hi Sam, Could you say more about the need for 'substance use' archetypes? I'm not sure I understand why it would be a good idea to record alcohol consumption differently from, for example, consumption of herbal teas. Or prescription drugs for that matter. I'm sure I'm missing something.
Thanks, Bill ----- Original Message ----- From: Sam Heard To: Openehr-clinical Sent: Tuesday, May 09, 2006 10:54 PM Subject: Lifestyle: substance_use archetype Dear All I have been working on the archetypes for lifestyle and have approached them with trepidation. I am aware that there are lots of things that a person might like to record, and a lot of preferences. So we need to have a rich model for these things. The first one I have published is substance use and as designed includes alcohol, tobacco, caffeine and others - it is possible to nominate the others and have as many as you wish. The substance archetype is on the Ocean site: http://oceaninformatics.biz/archetypes/openEHR-EHR-OBSERVATION.substance_use.v1.html There is a link to the ADL on that page (second row) You will notice that I have not completed the descriptions in places, apologies. The question I have is whether it is best to deal with this as a broad archetype (deals with a number of substances although each slightly differently) or as specialisations. The current archetype is the former, but it would be possible to deal with these as three archetypes: Substance use \ _Alcohol \_Tobacco The advantage would be that you could look in the same place for the information and then see what the substance was, while the specialisation would provide the different recordings favoured for the different substances. The problem with this latter approach is that many people would probably use the unspecialised archetype for everything, and it would be difficult to get meaningful data about the most common substances leading to harm. For this reason, and the simplicity of use for software (templates mean that there could be three different templates that provided the same functionality), I favour the inclusive approach. I am interested in your thoughts, Sam -- Dr. Sam Heard MBBS, FRACGP, MRCGP, DRCOG, FACHI CEO and Clinical Director Ocean Informatics Pty. Ltd. Adjunct Professor, Health Informatics, Central Queensland University Senior Visiting Research Fellow, CHIME, University College London Chair, Standards Australia, EHR Working Group (IT14-9-2) Ph: +61 (0)4 1783 8808 Fx: +61 (0)8 8948 0215 -------------- next part -------------- An HTML attachment was scrubbed... URL: <http://lists.openehr.org/mailman/private/openehr-technical_lists.openehr.org/attachments/20060510/909b9f1c/attachment.html>
